Provider Demographics
NPI:1134120835
Name:BALHARA, YOGINDRA S (MD)
Entity Type:Individual
Prefix:
First Name:YOGINDRA
Middle Name:S
Last Name:BALHARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:YOGINDRA
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:761 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4210
Mailing Address - Country:US
Mailing Address - Phone:717-261-2583
Mailing Address - Fax:717-261-2584
Practice Address - Street 1:761 5TH AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4210
Practice Address - Country:US
Practice Address - Phone:717-261-2583
Practice Address - Fax:717-261-2584
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD059309L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110169022OtherMEDICARE RAILROAD PIN
PA0016562820004Medicaid
674444G0DMedicare PIN
PA674444Medicare ID - Type Unspecified
110169022OtherMEDICARE RAILROAD PIN